[Federal Register Volume 76, Number 239 (Tuesday, December 13, 2011)]
[Notices]
[Pages 77590-77591]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-31801]


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DEPARTMENT OF THE TREASURY

Fiscal Service


Financial Management Service; Proposed Collection of Information: 
Request for Payment of Federal Benefit by Check, EFT Waiver Form

AGENCY: Financial Management Service, Fiscal Service, Treasury.

ACTION: Notice and request for comments.

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SUMMARY: The Financial Management Service, as part of its continuing 
effort to reduce paperwork and respondent burden, invites the general 
public and other Federal agencies to take this opportunity to comment 
on a continuing information collection. By this notice, ``Request for 
Payment of Federal Benefit by Check, EFT Waiver Form.''

DATES: Written comments should be received on or before February 13, 
2012.

ADDRESSES: Direct all written comments to Financial Management Service, 
3700 East West Highway, Records and Information Management Branch, Room 
135, Hyattsville, MD 20782.

FOR FURTHER INFORMATION CONTACT: Request for additional information or 
copies of the form(s) and instructions should be directed to Walt 
Henderson; EFT Strategy Division; 401 14th Street SW., Room 303, 
Washington, DC 20227, (202) 874-6624.

SUPPLEMENTARY INFORMATION: Pursuant to the Paperwork Reduction Act of 
1995, (44 U.S.C. 3506(c)(2)(A)), the Financial Management Service 
solicits comments

[[Page 77591]]

on the collection of information described below:
    Title: Request for Payment of Federal Benefit by Check, EFT Waiver 
Form.
    OMB Number: 1510-0NEW (OMB to affix number).
    Form Number: DRAFT--FMS Form 1201-W.
    Abstract: 31 CFR part 208 requires that all Federal non-tax 
payments be made by electronic funds transfer (EFT). This form is used 
to collect information from individuals requesting a waiver from the 
EFT requirement because of a mental impairment and/or who live in a 
remote geographic location that does not support the use of EFT. These 
individuals may continue to receive payment by check. However, 31 CFR 
part 208 requires individuals requesting one of these waiver conditions 
to submit a written justification that is notarized by a notary public. 
In order to assist individuals with this submission, Treasury is 
preparing a waiver form so that all necessary information is collected.
    Current Actions: New Information Collection.
    Type of Review: Regular.
    Affected Public: Individuals or Households.
    Estimated Number of Respondents: 400,000.
    Estimated Time per Respondent: 1.2 Hours.
    Estimated Total Annual Burden Hours: 80,000 Hours.
    Comments: Comments submitted in response to this notice will be 
summarized and/or included in the request for Office of Management and 
Budget approval. All comments will become a matter of public record. 
Comments are invited on: (a) Whether the collection of information is 
necessary for the proper performance of the functions of the agency, 
including whether the information shall have practical utility; (b) the 
accuracy of the agency's estimate of the burden of the collection of 
information; (c) ways to enhance the quality, utility; and clarity of 
the information to be collected; (d) ways to minimize the burden of the 
collection of information on respondents, including through the use of 
automated collection techniques or other forms of information 
technology; and (e) estimates of capital or start-up costs and costs of 
operation, maintenance and purchase of services to provide information.

    Dated: December 6, 2011.
Sheryl R. Morrow,
Assistant Commissioner, Payment Management.
[FR Doc. 2011-31801 Filed 12-12-11; 8:45 am]
BILLING CODE 4810-35-M